Admin: Hearing aid & Hearing test request (Already examined)
This service is only for patients over the age of 55
Please only complete this form if you have already been assessed at the practice or audiologist for ear wax and confirmed to be free of wax and requiring a hearing aid or hearing test referral.
If you have not already been assessed then fill out this form.
The models available nowadays on the NHS are a great improvement on those used in the past. They're smaller and neater, and they work better too.
The earlier you get them, the more you'll get out of them – so don't wait until your hearing gets worse before you get your ears assessed.
Benefits of hearing aids
Hearing aids won't make your hearing perfect, but they make sounds louder and clearer, reducing the impact hearing loss has on your life.
Hearing aids can:
- help you hear everyday sounds such as the doorbell and phone
- improve your ability to hear speech
- make you feel more confident when talking to people and make it easier for you to follow conversations in different environments
- help you to enjoy listening to music and the TV, at a volume that's comfortable for those around you
On completion of this form our secretaries will send a referral letter to specsavers for a hearing assessment & if needed a hearing aid fitting.
Please do not write any clinical queries on this form. Any clinical queries or request for appointments via this form will be discarded. To make an appointment either book online via the NHS app/Patient access or by calling reception 01926 316711. We will start to process your form by the next working day but it will take up to 5 working days to complete. Please DO NOT call before 5 working days as you will not receive a status update from reception or the administrative team. If you are NOT a registered patient then your form will be discarded. This service is only for patients registered at the surgery aged 16 and over; and for parents or legal guardians of children. Forms must be completed in the UK due to GDPR regulations.
Admin: Hearing aid & Hearing test request (Already examined)
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This information is retained for up to 28 days.
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